Surgical & Clinical Care Coordinator – CPT & Authorization Specialist

Staffing For Doctors

. Review physician orders for surgical procedures, diagnostic tests, therapy sessions, or clinical services .

Posted 9/30/2026full-timeRemote • PhilippinesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing surgical scheduling, securing prior authorizations, and navigating patient care logistics. Proficient in reading physician orders and aligning them with CPT codes and payer authorization rules.

Highest-signal resume keywords

Surgical Scheduling ManagementCPT Code ValidationPrior Authorization SecuringEHR/EMR System MaintenancePatient Care Navigation

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CPT Code IdentificationICD-10 Diagnosis AlignmentInsurance Authorization ProcessesSurgical Procedure CoordinationPre-Operative Testing Management

Soft Skills

Excellent Communication SkillsEmpathetic Patient Interaction

Tools & Technologies

EHR SystemEMR System

Certifications & Qualifications

RNLPNBSNPTPTA

Industry Keywords

Surgical ProceduresDiagnostic TestsTherapy SessionsClinical ServicesInsurance Payers

About the role

Key responsibilities & impact

Review physician orders for surgical procedures, diagnostic tests, therapy sessions, or clinical services
Validate and match orders against CPT/HCPCS codes and ICD-10 diagnoses before submission
Initiate, track, and secure insurance prior authorizations based on CPT codes and clinical necessity guidelines
Answer inbound and place outbound calls to insurance companies, medical providers, and patients
Resolve authorization inquiries, verify coverage rules, and address peer-to-peer or appeal requirements
Schedule surgical procedures, pre-operative testing, and clinical follow-ups after authorization approval
Coordinate surgery times, facility block times, and physician calendars
Guide patients through pre-procedure instructions, required medical clearances, and appointment logistics
Maintain authorization and scheduling records in the practice EHR/EMR system
Monitor pending orders to prevent delays between physician order placement and final patient scheduling

Requirements

What you’ll need

Formal education or background in Nursing (RN/LPN/BSN), Physical Therapy (PT/PTA), or Podiatry
Demonstrated ability to accurately read doctor orders, identify CPT codes, and align them with payer authorization rules
Proven experience managing surgical scheduling, pre-testing requirements, and care navigation
Strong hands-on background securing prior authorizations across various insurance payers
Excellent, articulate English speaking skills for calling insurance representatives, coordinating with doctors' offices, and speaking empathetically with patients